Register an eCampaign The Donate Life California eCampaign is a free, simple tool you can use to inspire your community to save lives by signing up as organ, eye and tissue donors. All you need to do is use the form below to submit a short paragraph about your connection to donation and a picture. Once you submit your story and picture, Donate Life California will create your eCampaign and email you when it's finished. That email will contain a custom URL that links to your eCampaign. After that, you can share your custom URL via email, social media, blogs and more to encourage your friends and family to sign up as organ and tissue donors through your eCampaign. Donate Life California will keep track of the number of people that you inspire to sign up! Please request your own custom eCampaign to save lives! Bolded fields are required Your InformationName*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Are you a member of any organization?*YesNoName of OrganizationOrganization WebsiteContact InformationPlease provide information about your eCampaign contact in the event we need to reach him/her regarding the information submitted here. This information will only be used for the eCampaign you are registering for with this document.First Name*Last Name*Title*Email* Enter Email Confirm Email Phone*FaxeCampaign DetailsName of eCampaign*Picture*Accepted file types: jpg, gif, png, eps, tif.(for use on the eCampaign website. Acceptable formats .jpg, .gif, .eps, .tif)Tentative eCampaign Start Date:* Tentative eCampaign End Date:* Estimated # of individuals to be contacted during your eCampaign:*Information about you or organization you wish to post on your assigned URL link:How may Donate Life California be of further assistance to you?For any other questions, please call us at (866) 797-2366 Extention 4CaptchaEmailThis field is for validation purposes and should be left unchanged.